ICU患者压力性损伤预防的最佳证据总结

目的 检索、评价和总结ICU患者压力性损伤预防的最佳证据,为临床实践提供循证依据。方法 检索JBI、Up To Date、BMJ Best Practice、国际指南图书馆、美国指南网、英国国家临床医学研究所指南库、Cochrane Library、医脉通、PubMed、CINAHL、EMbase、万方数据库、中国知网、中国生物医学文献数据库并补充检索了相关官方网站。结果 共筛选证据14篇,包括指南7篇、证据总结1篇、系统评价2篇、随机对照试验3篇和专家共识1篇,最终总结了40条最佳证据。结论 临床护理人员需结合专业判断、患者的需求和偏好以及应用证据的场景,有针对性的选择最佳证据,降低ICU患者压力性损伤的发生率,提高护理质量。

Best Evidence Summary for Prevention of Pressure Ulcer in ICU Patients

Objective To retrieve, evaluate and summarize the best evidence for prevention of pressure ulcer in ICU patients and provide reference for clinical practice. Methods We searched literature from Joanna Briggs Institute(JBI), Up To Date, BMJ Best Practice, Guidelines International Network(GIN), National Guideline Clearinghouse(NGC), National Institute for Health and Care Excellence(NICE), Cochrane Library, Yi Maitong, PubMed, CINAHL, Embase, Wanfang Data, CNKI and CBM, and relevant official websites. Results Fourteen pieces of evidence were selected, including 7 guidelines, 1 evidence summary, 2 systematic reviews, 3 randomized controlled trials and 1 expert consensus. Forty pieces of best evidence were summarized. Conclusion It is suggested that clinical nursing staff should take clinical expertise, patient preference and clinical context into consideration to select the best evidence, thus to reduce the incidence of pressure ulcer in ICU patients and improve nursing quality.